Understanding Female Partners of Bisexual Men: Implications for HIV/STD Risk

了解双性恋男性的女性伴侣：对艾滋病毒/性病风险的影响

• 批准号: 7866497
• 负责人: Nina Thawata Harawa
• 金额: $ 10.58万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-01 至 2011-12-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7866497
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Anal Sex; Anus; Attitude; Awareness; Behavior; Behavioral; Belief; Bisexual; Case-Control Studies; Categories; Characteristics; Collaborations; Color; Conservatism; County; Data; Demographic Factors; Dependency; Development; Diagnosis; Drug usage; Effectiveness; Epidemic; Ethnic Origin; Female; Funding; Gays; Gender Role; Goals; HIV; HIV Infections; HIV antibody positive; HIV diagnosis; HIV/STD; Health Services Research; Heterosexuals; Hispanics; Human immunodeficiency virus test; Injection of therapeutic agent; Intervention Studies; Interview; Latina; Los Angeles; Oral Sex; Participant; Pattern; Pharmaceutical Preparations; Phase; Policies; Prevention; Prevention approach; Prevention strategy; Preventive Intervention; Psychosocial Factor; Psychosocial Influences; Public Health; Qualitative Research; Questionnaires; Race; Recruitment Activity; Reporting; Research; Resources; Risk; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Site; Social Desirability; Structure; Surveys; Testing; Time; Transcript; United States; Vagina; Woman; Women' s Group; Work; behavior test; case control; condoms; expectation; experience; high risk; improved; male; man; men; men who have sex with men; permissiveness; programs; psychosocial; racial and ethnic disparities; resource guides; risk perception; safer sex; self esteem; sex; sexual relationship; stem; trait; transmission process

DESCRIPTION (provided by applicant): In the United States, the reported rates of new HIV diagnoses among black and Hispanic women are, respectively, 20 and 5.4 times that of white women. A greater tendency toward bisexual behavior and non-gay identification among black and Hispanic men who have sex with men (MSM) than among white MSM is thought to contribute to the large racial/ethnic disparities in HIV/AIDS observed among women; however, nearly nothing is known about the female partners of behaviorally bisexual men. Furthermore, many HIV-infected women are considered "heterosexual unidentified risk" because they do not fit into an HIV transmission category other than sex with a male of unidentified risk. We propose a two-phase study to better understand HIV risk among women of color by identifying predictors of sex with bisexual and unidentified risk men and exploring psychosocial issues surrounding and correlates of these sexual partnerships. This research will be carried out among African-American and Latina females recently tested for HIV in publicly funded test sites in Los Angeles County. In Phase I, a matched case-control analysis will be carried out using secondary data to identify predictors of having had sex with a bisexual man or of being diagnosed HIV-antibody positive with unidentified heterosexual risk. In Phase II, recently tested women will be recruited and interviewed, including 30 who report bisexual male partners and 20 HIV-infected women with unidentified sexual risk. The in-depth semi-structured interview will examine psychosocial factors surrounding sexual relationships with men, including known bisexual, potentially bisexual, and presumed heterosexual men and explore (1) the range of relationship types characterizing women's relationships with these men; (2) attitudes regarding gender roles and desired partner traits; (3) how and when participants became aware of their partners' bisexual behavior and how this awareness influenced their HIV risk perception; (4) how HIV-antibody positive women with unidentified sexual risk perceive they and their partners were infected; and (5) participant's attitudes and behaviors regarding health-related research, health care, and STD/HIV prevention. Interview transcripts will be analyzed using a consensual qualitative research approach to identify major themes and generate hypotheses and survey items for a larger quantitative interview study comparing women reporting sex with a bisexual male to women who do not believe that they have had sex with a bisexual man. They will also help direct prevention resources and guide HIV prevention intervention approaches among women of color.

描述（由申请人提供）：在美国，黑人和西班牙裔妇女的新艾滋病毒诊断率分别是白人妇女的20和5.4倍。在白人MSM中，黑人和西班牙裔男性（MSM）的双性恋行为和非同性恋识别的趋势比白人MSM中的趋势更大，这会导致妇女观察到的艾滋病毒/艾滋病的巨大种族/族裔差异；但是，对行为双性恋男人的女性伴侣几乎一无所知。此外，许多感染了HIV的妇女被认为是“异性恋不确定的风险”，因为她们不适合与具有未识别风险的男性性行为以外的其他性行为。我们提出了一项两阶段的研究，以通过确定双性恋和身份不明的风险男人的性别预测因素，并探讨这些性伙伴关系的社会心理问题，以更好地了解有色女性的艾滋病毒风险。这项研究将在最近在洛杉矶县公共资助的测试地点进行的非裔美国人和拉丁裔女性进行艾滋病毒。 在第一阶段，将使用辅助数据进行匹配的病例对照分析，以识别与双性恋男人发生性关系或被诊断为HIV抗体呈阳性的预测指标，并具有身份不明的异性恋风险。在第二阶段，将招募和采访最近经过测试的妇女，其中30名报告双性恋男性伴侣和20名受HIV感染的妇女，具有身份不明的性风险。深入的半结构化访谈将检查围绕与男性发生性关系的社会心理因素，包括已知的双性恋，潜在的双性恋和假定的异性恋男人并探索（1）（1）表征女性与这些男人关系的关系类型的范围； （2）对性别角色和所需伴侣特征的态度； （3）参与者如何以及何时意识到伴侣的双性恋行为以及这种意识如何影响他们的艾滋病毒风险感知； （4）艾滋病毒抗体阳性妇女如何感知自己和他们的伴侣感染的性风险； （5）参与者对健康相关研究，医疗保健和性病/艾滋病毒预防的态度和行为。面试成绩单将使用一定的定性研究方法进行分析，以识别主要主题，并为更大的定量访谈研究产生假设和调查项目，以比较与双性恋男性报告性行为的妇女与没有双性恋男人发生性关系的妇女进行比较。他们还将帮助直接预防资源，并指导有色女性的艾滋病毒预防干预方法。